The Relationship between the intolerance of uncertainty and the fear of COVID-19 in patients awaiting kidney transplantation during the pandemic

Objective:This study aims to identify the relationship between the intolerance of uncertainty and the fear of COVID-19 in patients awaiting kidney transplantation during the COVID-19 pandemic.Methods:This descriptive and cross-sectional study was performed with the participation of 355 individuals.The data were collected with a patient information form,the intolerance of uncertainty scale–short form(IUS),and the fear of COVID-19 scale(FCV-19S).Results:The mean IUS–short form score of the participants was 53.03±5.11,and their mean FCV-19S score was 30.62±4.10.A statistically highly significant positive relationship was identified between the FCV-19S and IUS scores of the participants(r:0.850;P<0.001).Conclusion:As the patients’intolerance of uncertainty increased,their fears of COVID-19 also increased.For patients awaiting kidney transplantation during the COVID-19 pandemic,which is full of challenges,to cope with fear and uncertainty,it is recommended that patients are provided with care with a multidisciplinary team approach.

A determination of the quality of life of children and adolescents with type 1 diabetes and their parents

Objective: Type 1 diabetes is a chronic illness which can have a negative effect on the health care and development of children and can put their lives in danger. This descriptive study aimed to determine the quality of life and the factors affecting it of children and adolescents with type 1 diabetes using the Pediatric Quality of Life Inventory (PedsQL).Methods: The study was conducted in the Child Endocrinology Unit of a University Hospital in Bursa, Turkey. Totally 64 children eight-12 years and 85 adolescents aged 13-18 with type 1 diabetes and their parents were recruited. HbA1c measurements were obtained from the records of the endocrinology clinicare, which were made once every three months, and the average of the last three measurements was taken in the study. The PedsQL was used to measure quality of life of the children and adolescents. The data was analyzed using SPSS version 20.0 and P<0.05 was considered significant. The demographic data of the children and parents were analyzed using means and percentiles. Pearson's correlation analysis was used to assess the relationship between two averages. Results: Of the sub-groups on the scale, affective and school function scores were somewhat low, and social function scores were high. The quality of life scores of the children and adolescents were found to correlate with those of their parents. A negative correlation was found between HbA1c levels and adolescent quality of life, a positive correlation was found between the child's age and the quality of life of the child and parents, and a negative correlation was found between the number of children in the family and the quality of life of the child and parents. Conclusions: An evaluation of the quality of life after a diagnosis of diabetes can be used to assess the problems which may be faced by children and adolescents and to combat these problems.

Effect of lavender aromatherapy on pruritus, anxiety, and sleep quality of patients undergoing hemodialysis: a randomized controlled trial

Background:Patie nts un dergo ing hemodialysis experie nces some symptoms.Pruritus,an xiety,and sleep quality are three of the most com mon symptoms.Eve n though some pharmacological treatme nts use to cope with these symptoms,they are still experie need by the patie nts at a high level.Aim:This study aimed to determine the effect of lavender oil aromatherapy on pruritus,anxiety,and sleep quality of patients undergoing hemodialysis.Method:This randomized con trolled study was carried out betwee n December 2019 and March 2020.Eighty of 895 eligible patients were included in the study.Aromatherapy inhalation and massage together applied to the patients for six weeks.5D-Itch Scale,State Anxiety Inventory(SAI),and Richard Campbell Sleep Questio nn aire(RCSQ)were used for data collecti on.IBM SPSS 25.0 were used for statistical an alysis.Mann-Whit ney U,Wilcox on sig ned-ra nks test,and repeated measures-ANOVA tests were used to compare the difference between the groups and simple regression analysis to investigate the relationship between the dependent and independent variables.Results:Most of the patients were male(57.5%)and aged between 41 and 55 years(52.5%).There was significant difference in the mean scores of SAI(Pretest:44.02±5.33,Post-test:35.40±4.52,P=0.003),5D-Itch scale(Pretest:9.80±2.04,Post-test:7.00±2.31,P=0.001),and RCSQ(Pretest:17.11±40.30,Post-test:58.55±33.74,P=0.002)with in time in the in terve ntio n group.There was a statistically significant differenee between the groups regarding the mean scores of SAI(Intervention:35.40±4.52,Control:46.84±4.62,P=0.003),5D-Itch scale(Intervention:7.00±2.31,Control:8.96±2.05,P=0.004),and RCSQ(Intervention:58.55±33.74,Control:19.93±28.36,P=0.001)after the intervention.Conclusion:After six-weeks intervention,lavender aromatherapy was found an effective way to reduce pruritus,anxiety and to improve the sleep quality of patients undergoing hemodialysis.

土耳其2型糖尿病患者治疗依从性评定量表的心理测量学评价

目的治疗依从性对2型糖尿病患者的治疗和并发症的预防具有重要意义。本研究的目的是研制土耳其糖尿病患者治疗依从性评定量表并评价其心理测量学性能。方法本研究在4所培训和研究性医院进行。采用便利抽样方法抽取350例2型糖尿病患者。通过文献回顾和对患者的质性访谈,确定量表条目。对量表条目进行了心理测量学分析。量表内容效度通过征集专家意见和初步研究进行评估。结构效度采用主成分分析和方差最大旋转技术进行探索性因子分析。效标效度采用糖尿病管理评估系列工具包(Diabetes Care Profile,DCP)中的糖尿病态度分量表(Attitudes Toward Diabetes Scale,ATDS)进行评估。量表信度采用Cronbach's a系数和重测信度进行评估。结果量表包含30个条目,由7个因子组成,解释了总方差的47.36%。数据的Keiser-Mayer-0lkin测试结果为0.75,Cronbach's a系数为0.77,重测信度r值为0.991。该量表总分与ATDS总分呈正相关(r=0.31)。结论本研究结果表明,该量表是有效的和可靠的2型糖尿病治疗依从性评估工具,护士和医疗服务提供者可用来评估2型糖尿病患者的治疗依从性。

土耳其语版糖尿病自我效能量表的信度与效度

目的确定糖尿病自我效能量表在土耳其人群中应用的信度与效度。方法选取在土耳其马拉蒂亚图尔古特·厄扎尔健康中心(Malatya Turgut Ozal Health Center)和马拉蒂亚州医院(Malatya State Hospital)的319例住院患者,住院前均至少已经诊断为糖尿病1年。采用由社会人口学特征、药物使用及患者疾病信息等条目和自我效能量表(DiabetesSelfEficacyScale,DSES)组成的问卷进行资料收集。量表的信度分析包括计算Cronbach's a系数和项目分析法。结构效度度采用因子分析,采用主成分分析法和方差最大旋转法分析因子结构。结果量表各条目的条目-总分相关系数范围0.297~0.803。量表的Cronbach's a系数为0.86,仅1个因子,特征值大于1,解释总方差的52.38%。量表条目的因子载荷值为0.59~0.81。结论糖尿病自我效能量表是一种有效、可靠的患者自我效能测量工具。建议通过在更广泛的不同社会经济水平的人群中应用此量表来评估其稳定性。